PMID: 15248001Jul 13, 2004Paper

Perioperative multimodality neuromonitoring: an overview

Seminars in Cardiothoracic and Vascular Anesthesia
John M Murkin

Abstract

Neurologic damage after cardiac surgery remains an important cause of postoperative morbidity. In addition to a wide variety of procedural risks, patient-specific factors such as the presence of extracranial or intracranial atherosclerotic disease, either alone or together, have a fundamental impact on the risk of brain injury developing after cardiovascular surgery. A variety of neurophysiologic monitoring techniques have been used during cardiovascular surgery in hopes of averting neurologic injury. In this issue of Seminars, the strengths and weaknesses of each are discussed by a group of highly experienced clinical investigators. The ultrasound techniques of epiaortic scanning and continuous transcranial Doppler insonation of large intracranial arteries can alter perfusion management and surgical habits to markedly decrease the delivery of atherosclerotic, lipoidal, and gaseous microemboli to the brain and other vital organs. Cerebral hypoperfusion from unrecognized cerebral venous obstruction, inadequate mean arterial pressure, or hypocapnic cerebral alkalosis can be identified by transcranial near-infrared spectroscopy, electroencephalogram, and sensory evoked potentials. Compromise of spinal cord perfusion during the rep...Continue Reading

References

Feb 15, 2001·The New England Journal of Medicine·M F NewmanUNKNOWN Neurological Outcome Research Group and the Cardiothoracic Anesthesiology Research Endeavors Investigators
Jul 13, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Laverne D GuginoArvi Yli-Hankala
Jul 13, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Rosendo A Rodriguez
Jul 13, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Mark M Stecker
Jul 13, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Tod B Sloan
Jul 13, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Dennis D Doblar
Jul 13, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Harvey L EdmondsErle H Austin

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Citations

Jul 30, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Paolo ZanattaCarlo Valfrè
May 25, 2011·The Journal of Thoracic and Cardiovascular Surgery·Marco RanucciUNKNOWN European Association of Cardiothoracic Anaesthesiologists
Sep 1, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Gabor Erdoes, Reto Basciani
Oct 9, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C D EtzF W Mohr
Sep 21, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Mark J McVeyHelen Holtby
Sep 9, 2006·Seminars in Cardiothoracic and Vascular Anesthesia·Scott M GoldmanLouis E Samuels

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